Note: Final application form need to be signed in hard copy by authorized officer of the company. The Charter, license and Telecommunications Law shall prevail in all cases.

Your Email :

1. Please provide the name and registration number of the legal entity applying for BIX membership.(Charter "Member Responsibilities", Section 23.3)

Entity Name :

Registration no :

2. Please provide the name of a technical, administrative and billing contact. Please note that the billing contact should be the person who should receive invoices with relation to all of your organisation fees.

Technical

Person-name :

Address :

Phone :

Fax-No :

E-mail :

Administrative

Person-name :

Address :

Phone :

Fax-No :

E-mail :

Billing

Person-name :

Address :

Phone :

Fax-No :

E-mail :

3. Please mention the email addresses of any other person in your organisation who should be notified and copied with correspondence regarding the joining process.

Person-name :

E-mail :

4. Does the applicant agree to further the aims of the BIX and abide by the terms of the Charter, and the organisational and technical requirements of the BIX?

Yes

No

5. What Autonomous System (AS) number(s) will the applicant use for peering with other BIX Members? (Charter " Technical Prerequisites to apply to become a BIX member", Section 21.1.a)

AS number:

6. If the Applicant's application is successful, will the Applicant commit to paying the joining and membership fees? (Charter "Membership Status", Section 24.1.a)

Yes

No

7. If the Applicant's application is successful, will the Applicant pay for BIX Service Fees? (Charter "Fees", Section 28)?

Yes

No

8. If the Applicant's application is successful, will the Applicant provide a signed copy of the Charter? (Charter "Membership Status", Section 24.2.a)

Yes

No

9. Is the Applicant agreed to contribute in good faith towards the operation of the BIX? (Charter "Member Responsibilities", Section 31.1)

Yes

No

10. Does the Applicant accept the authority of the General Assembly as final in matters relating to the BIX?

Yes

No

11. Does the Applicant agree to adhere to the BIX publicity guidelines? (Charter "Publicity", Section 29)